Kelly Bogdanovich, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

916 Silver Spur Rd Ste 308
Rolling Hills Estates, CA 90274-3828

Phone

(310) 722-6223

NPI assigned

Feb 16, 2007

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1730223306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 SUNNYSIDE TER",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323901",
            "telephone_number": "310-722-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SILVER SPUR RD STE 308",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743828",
            "telephone_number": "310-722-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOVICH",
        "first_name": "KELLY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.